MEDICARE: LIURYS BUREY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant
2	106S00000X	Behavior Technician	RBT-20-122020	FL

General Provider Information

NPI Number	:	1881190841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIURYS BUREY

Provider Business Mailing Address
First Line	:	11200 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-4021
Country	:	US
Telephone Number	:	305-400-8735
Fax Number	:	786-431-1170

Provider Business Practice Location Address
First Line	:	11200 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-4021
Country	:	US
Telephone Number	:	305-400-8735
Fax Number	:	786-431-1170

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2018
Last Update Date	:	12/03/2021

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Directions to “ LIURYS BUREY ” Practice Location

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